Keith a Ryan MD PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

7118A Issued in WY

Legal business name

KEITH A RYAN MD PC

Practice address

1233 E 2ND St
Casper, WY 82601-2926

Phone

(307) 577-7201

NPI assigned

Feb 24, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Keith A Ryan, MD

Title

Registered Agent

Phone

(307) 235-4020

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1083854574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 E 15TH ST",
            "address_2": "SUITE 2",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012926",
            "telephone_number": "307-577-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH A RYAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "307-235-4020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "WY",
            "license": "7118A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120997300",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD OF WYOMING",
            "identifier": "313512",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Robert Keeler, D.C.
• Leslie Ann Keeler, RN
• Stephanie Marie Keeney, PHYSICIAN ASSISTANT
• Cheryl Anne Keffeler, MOT, OTRL
• Michael Ray Keim, D.D.S.
• Haley Keith, PHARMD
• Erin Kelly, DPT
• Yvonne Kemberling
• Maegan R Kemery, PCSW
• Jaron Beau Kennedy, M.A., L.P. C.

• Anesthesiology Physician in Casper, WY
• Providers in Casper, WY by specialty
• Anesthesiology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.